HomeMy WebLinkAbout6401 TRUXTUN Avenue_HMBP 4.28.10IiiM
UNIFIED PROGRAM INSPECTION CHECKLIS
SECTION 1: Business Plan and Inventory Program
oil W Prevention Services
r. R S F I D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
-� or DS
9/2V //v
?a �►;:,
ADDRCI
PHONE NO.
NO OF EMPLOYEES
, 0 \ _
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CO VT
BUSINESS ID NUMBER
15 -O21 1 O�y
❑ VERIFICATION OF LOCATION
lJ �� y
., NOW s s,. _.fflS � E tion 1: Business and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? � YES ❑ NO
EXPLAIN: %tom L,�-�X
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
�Ca /J ✓ % A✓! cl r;
mess Site / Res o i e Pa Please Print
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site /Station # p � ( )
White — Prevention Services Yellow - Station Copy' Pink — Business Copy FD 2155 (Rev. 09/05
I�
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B F R S F I D 900. Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
° a R re► Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME P
INSPECTION DATE
INSPECTION TIME
❑ Business PLAN CONTACT INFORMATION ACCURATE
\cd'
ADDRESS
Ut-1o1 �vrL
JPHONE NO.
4�) ^323 -i3oo
O OF EMPLOYEES
Q(u
tL�..X
❑, VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- �pl7y6g5
Sectlon¢1 ffiBusmess Plan,and',In�entory Program ."
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance) OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
\cd'
❑ VISIBLE ADDRESS
�yn�.,�a•.
❑ CORRECT OCCUPANCY
❑, VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
YES
❑Q�J0
EXPLAIN: rc�;��9�%
\cd'
1 /C�vc��
�yn�.,�a•.
QUESTIONS REGARDING THIS INSPECTION ?? PLEASE CALL US AT (661) 326 -3979
CoJ% /fah
ess e R n le a Please Print
�spector (Please Print) Fire Prevention / 1" In /Shift of Site /Station # rtY ( )
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05